SGN2004-00168 CITY TIGARD SIGN PERMIT
' ,i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00168
c � 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/23/2004
PARCEL: 1 S 136AD -04000
BUSINESS NAME: PREGNANCY RESOURCE CENTER ZONE: C -G
SIGN LOCATION: 11507 SW PACIFIC HWY C JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X96"
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 377 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 20 sq. ft. permanent wall sign.
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days , validity da
APPROVED BY: Ai - � '" -
r
PERMITTEE SIGNATURE: < .
DATE: 7/ 3/2004
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SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site c'G9NAAKA RGSCIvrt c e en, S
Address/ Street Address Permit No.: , ) Li (f — 00 ( 1p�
Location 115 aw f itc. c Aoki
Suite /Bldg. # City /State Zip Expiration Date:
C 44, T11A rJ 0 2 9 7 90.1 Receipt #:
Name Approved By:
Property ai1e -ryL L- 4C Date: 7 z 0
Owner Mailing Address r Suite Map /TL #:
) 55 / p AC4t go D Zoning: ( 6
City /State Zip Phone
Tl fAL 02 97924 S03- ?GS- g I?t Electrical Permit Required? C—es ❑ No
Tenant or Name
P c Building Permit Required? El Yes El Business ,{beer gG SvKtc C1.4,
Name Rev. 7 /1/04 is \curpin \masters \revised \sign permit app.doc
Sign 13 si L.L. C.
Contractor Mai ng Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a ,7413 Lift)& k41Aw . R'KC without the required submittal elements)
copy of all City /State Zip PO Phone
licenses are
required if WWI 1An►d G!A ` VO i f 360 a2 S'-10 11 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # , Ill Copies of Site /Plot Plan, Drawn to Scale
database)
155 Y'1 (3 copies, if a building ( p' g permit is required)
Proposed I Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ® Wall ❑ Electronic
(Check all that El 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
® New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 30 I' RS A El $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): JO El $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 3 Jurisdiction: El City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
re
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): /Of(� but must include dimensions of wall face and
Projection From Wall (inches): 10g sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ® Yes ❑ No building permit.
Type: El, Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑No
BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this o a 3 day of 31.I !y , 20 0 if
I /
.„......_ J.,
f r
gnature of Owner /Agent
0 1.JAke-r s 3- Tao - S-y/ o
Contact Person Name Phone No.
V YEge 96"
Your Electrical Sign Source _ - • d�0VE
SHERWOOD OR O r q�ti
5osaz TiGARD �( .ly .7 ;n. ,
Approved [ / 1T -
Conditionally Approved [ ) o ,_1 ettF
For only rye worn g described in: cd - ri
PERM�p ME tt% Z.c3O`l. OW 68 - go �ddr
See k,fCiiEPgiRg°W [ . ._._
Attack �- f )
Job 4 Ess lI 0 7 5 p
6'': kb ey Date: ?�
8"
JOB FILE NUMBER
KnowLakel M -
LAG BOLTS
ATE
D
N - LAMPS
04-14-04 Mit - 9 i { LEXAN FACE ,
DESIGNED BY SOCKETS
Designer RETAINER WIREWAY
_ s FLEX CONDUIT
REVISIONS �.ilkb�a� , j__ BALLAST • . -J -BOX
s
1 CABINET 1
•
WALL
11
•
r tO 120 VAC
Sign in photo approximate
THIS DRAWING IS THE
PROPERTY OF YOUR
ELECTRICAL SIGN SOURCE,
AND IS NOT TO BE
REPLAN WITHOUT MANNER WIT MANUFACTURE AND INSTALL (1) INTERNALLY ILLUMINATED EXTERIOR WALL SIGN
IN ANY M
EXPRESS WRITTEN CONSENT. CABINET FABRICATED FROM ALUMINUM- PAINT Oracale 651 Purple
ILLUMINATION - - -- FLUORESCENT LAMPS
ATTACHMENT ATTACH TO EXISTING WALL FASCIA
CUSTOMER APPROVAL OF LOGO, COLORS, DIMENSIONS REQUIRED BEFORE MANUFACTURING
Rev. 1
1
1